| Organization Name: | BELLEVUE PODIATRY |
| NPI Number: | 1013215342 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER ANNE SAAM (OWNER/PRESIDENT) |
| Mailing Address: | 1370 116th Ave Ne Ste. 206 Bellevue |
| State: | WA US |
| Postal Code: | 980043825 |
| Phone Number: | 4254500565 |
| Fax Number: | 4254621742 |
| NPI Enumeration Date: | 03/10/2011 |
| NPI Last Update Date: | 07/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO00000789 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |